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      중독과 회복과정에서의 트라우마: 질적 메타합성

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      국문 초록 (Abstract)

      트라우마와 중독의 높은 상관성으로 트라우마에 기반한 실무가 필요함이 강조된다. 본 연구의 목적은 국내 질적연구들을 합성하여 중독 및 회복과정에 관여하는 트라우마의 영향을 파악하...

      트라우마와 중독의 높은 상관성으로 트라우마에 기반한 실무가 필요함이 강조된다. 본 연구의 목적은 국내 질적연구들을 합성하여 중독 및 회복과정에 관여하는 트라우마의 영향을 파악하는 것이다. 메타합성 방법으로 중독과 회복을 다룬 질적연구를 검색하여 17편의 문헌, 80명의 경험을 분석하였다. 연구결과를 트라우마 경험, 이것이 중독과정 및 회복과정에 미치는 영향으로 범주화했다. 과거의 트라우마 경험은 자아존중감을 낮추고 부정적 감정을 야기했으며, 그 대처로 중독 물질을 반복적으로 사용하게 되었다. 이후 과거와는 다른 타인과의 신뢰를 형성하고 자신의 존재가치를 되찾아가며 회복이 진행되는 것을 확인했다. 이 연구는 중독 영역에서 트라우마 기반의 실무가 활성화되어야 할 당위성을 확보하였다는 점에서 그 의의가 있다.

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      다국어 초록 (Multilingual Abstract)

      Background: Trauma is a physically or emotionally harmful or life-threatening event that negatively affects well-being. Recently, a high correlation between trauma and substance addiction has been recognized. The aim of this study is to synthesize qua...

      Background: Trauma is a physically or emotionally harmful or life-threatening event that negatively affects well-being. Recently, a high correlation between trauma and substance addiction has been recognized. The aim of this study is to synthesize qualitative studies to understand the effects of trauma involved in the addiction and recovery process.
      Methods: By searching qualitative studies about addiction and recovery, 17 Korean studies (80 subjects) were finally included in our analysis.
      Results: We recorded the traumas experienced, and their effects on addiction and recovery. Trauma reduced self-esteem and triggered psychological pain, while addiction was perceived as a countermeasure. As the trauma became accepted, participants acknowledged themselves, realized the value of their existence, and formed trusting relationships with others. Recovery progressed as the trauma healed.
      Conclusions: Our study facilitates a comprehensive and systematic understanding of the role of trauma on addiction.

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      목차 (Table of Contents)

      • Key messages
      • Abstract
      • 서론
      • 연구방법
      • 결과
      • Key messages
      • Abstract
      • 서론
      • 연구방법
      • 결과
      • 고찰
      • References
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      참고문헌 (Reference)

      1 윤명숙, "청소년의 인터넷 사용과 음주행위가 우울에 미치는 영향" 사회과학연구소 25 (25): 347-370, 2009

      2 김미숙, "중독의 회복과정에 대한 영성적 고찰: 국내 질적연구의 내용분석" 한국사회복지연구회 50 (50): 31-58, 2019

      3 Substance Abuse and Mental Health Services Administration (SAMHSA)., "Trauma-informed care in behavioral health services"

      4 Ford JD, "Trauma-focused, present-centered, emotional self-regulation approach to integrated treatment for posttraumatic stress and addiction : Trauma adaptive recovery group education and therapy(TARGET)" 60 (60): 335-355, 2006

      5 Herman JL, "Trauma and recovery: The aftermath of violence from domestic abuse to political terror" Basic Books 1997

      6 Barker P, "The tidal model : Developing an empowering, person‐centred approach to recovery within psychiatric and mental health nursing" 8 (8): 233-240, 2001

      7 Helen D, "The role of twelve-step-related spirituality in addiction recovery" 55 (55): 510-521, 2016

      8 Moustafa AA, "The relationship between childhood trauma, early-life stress, and alcohol and drug use, abuse, and addiction : An integrative review" 40 (40): 579-584, 2021

      9 Sartor CE, "The relationship between childhood trauma and alcohol use initiation in Black and White adolescent girls : Considering socioeconomic status and neighborhood factors" 53 (53): 21-30, 2018

      10 JTBC News, "The estimated number of people taking drugs in Korea is 500,000...Strong punishment isn’t enough, but aggressive treatment for addiction"

      1 윤명숙, "청소년의 인터넷 사용과 음주행위가 우울에 미치는 영향" 사회과학연구소 25 (25): 347-370, 2009

      2 김미숙, "중독의 회복과정에 대한 영성적 고찰: 국내 질적연구의 내용분석" 한국사회복지연구회 50 (50): 31-58, 2019

      3 Substance Abuse and Mental Health Services Administration (SAMHSA)., "Trauma-informed care in behavioral health services"

      4 Ford JD, "Trauma-focused, present-centered, emotional self-regulation approach to integrated treatment for posttraumatic stress and addiction : Trauma adaptive recovery group education and therapy(TARGET)" 60 (60): 335-355, 2006

      5 Herman JL, "Trauma and recovery: The aftermath of violence from domestic abuse to political terror" Basic Books 1997

      6 Barker P, "The tidal model : Developing an empowering, person‐centred approach to recovery within psychiatric and mental health nursing" 8 (8): 233-240, 2001

      7 Helen D, "The role of twelve-step-related spirituality in addiction recovery" 55 (55): 510-521, 2016

      8 Moustafa AA, "The relationship between childhood trauma, early-life stress, and alcohol and drug use, abuse, and addiction : An integrative review" 40 (40): 579-584, 2021

      9 Sartor CE, "The relationship between childhood trauma and alcohol use initiation in Black and White adolescent girls : Considering socioeconomic status and neighborhood factors" 53 (53): 21-30, 2018

      10 JTBC News, "The estimated number of people taking drugs in Korea is 500,000...Strong punishment isn’t enough, but aggressive treatment for addiction"

      11 Lewis SJ, "The epidemiology of trauma and post-traumatic stress disorder in a representative cohort of young people in England and Wales" 6 (6): 247-256, 2019

      12 Karen Hughes, "The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis" Elsevier BV 2 (2): e356-e366, 2017

      13 Robey B. Champine, "Systems Measures of a Trauma‐Informed Approach: A Systematic Review" Wiley 64 (64): 418-437, 2019

      14 Konkolÿ Thege B, "Relationship between interpersonal trauma exposure and addictive behaviors : A systematic review" 17 (17): 164-, 2017

      15 Jaremko KMPD, "Psychological and physiological stress negatively impacts early engagement and retention of opioid-dependent individuals on methadone maintenance" 48 (48): 117-127, 2014

      16 Lotzin A, "Profiles of childhood trauma in patients with alcohol dependence and their associations with addiction‐related problems" 40 (40): 543-552, 2016

      17 Snow MG, "Processes of change in alcoholics anonymous : Maintenance factors in long-term sobriety" 55 (55): 362-371, 1994

      18 Richard GT, "Posttraumatic growth : Conceptual foundations and empirical evidence" 15 (15): 1-18, 2004

      19 Stacey Subbie‐Saenz de Viteri, "Pathways to post‐traumatic stress disorder and alcohol dependence: Trauma, executive functioning, and family history of alcoholism in adolescents and young adults" Wiley 10 (10): 2020

      20 Gelles RJ, "Intimate violence and abuse in families" Oxford University Press 2016

      21 Oberleitner LMS, "Impact of exposure to childhood maltreatment on transitions to alcohol dependence in women and men" 20 (20): 301-308, 2015

      22 Loudermilk E, "Impact of adverse childhood experiences(ACEs)on adult alcohol consumption behaviors" 86 : 368-374, 2018

      23 Rehm J, "Global burden of disease and the impact of mental and addictive disorders" 21 (21): 1-7, 2019

      24 Stokes Y, "Exploring nurses’ knowledge and experiences related to trauma-informed care" 4 : 2017

      25 Nöthling J, "Epigenetic alterations associated with childhood trauma and adult mental health outcomes : A systematic review" 21 (21): 493-512, 2020

      26 Zou Z, "Definition of substance and non-substance addiction" 1010 : 21-41, 2017

      27 Schubert CC, "Culture and trauma: Cultural factors in mental health, psychotherapy and help-seeking" University of Tampere 2018

      28 Allen JG, "Coping with trauma: Hope through understanding" American Psychiatric Publishing 2005

      29 Liu SY, "Collective trauma and mental health hospitalization rates among children in New York State, 1999–2013 : Age, period, and cohort effects" 33 (33): 824-834, 2020

      30 Evren C, "Clinical correlates of childhood abuse and neglect in substance dependents" 31 (31): 475-485, 2006

      31 Keane C, "Childhood trauma and risky alcohol consumption : A study of Australian adults with low housing stability" 34 (34): 18-26, 2015

      32 Vaughan G, "Childhood trauma and post-trauma environment affect fear memory and alcohol use differently in male and female mice" 219 : 108471-, 2021

      33 Constantinou N, "Attentional bias, inhibitory control and acute stress in current and former opiate addicts" 109 (109): 220-225, 2010

      34 Sroufe LA, "Attachment from infancy to adulthood: The major longitudinal studies" Guilford Publications 48-70, 2005

      35 Park HS, "Association between psychological characteristics of adult-children of alcoholics and psychological problems" 46 (46): 118-144, 2001

      36 Jeong JW, "Alcoholism : Factors and policy options" 229 : 6-16, 2015

      37 Weiss NH, "Alcohol to down-regulate negative and positive emotions : Extending our understanding of the functional role of alcohol in relation to posttraumatic stress disorder" 115 : 106-777, 2021

      38 Anda RF, "Adverse childhood experiences and prescription drug use in a cohort study of adult HMO patients" 8 (8): 198-, 2008

      39 Christina MP, "A time for listening and caring: Spirituality and the care of the chronically ill and dying" Oxford University Press 2006

      40 Sweeney A, "A paradigm shift : Relationships in trauma-informed mental health services" 24 (24): 319-333, 2018

      41 Butler A, "A guide to writing a qualitative systematic review protocol to enhance evidence-based practice in nursing and health care : The qualitative systematic review protocol" 13 (13): 241-249, 2016

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2022 평가예정 재인증평가 신청대상 (재인증)
      2019-01-01 평가 등재학술지 유지 (계속평가) KCI등재
      2017-03-01 학술지명변경 외국어명 : THE KOREAN JOURNAL OF STRESS RESEARCH -> stress KCI등재
      2016-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2015-01-01 평가 등재후보학술지 유지 (계속평가) KCI등재후보
      2013-01-01 평가 등재후보학술지 유지 (기타) KCI등재후보
      2012-01-01 평가 등재후보 1차 FAIL (기타) KCI등재후보
      2011-01-01 평가 등재후보학술지 유지 (등재후보2차) KCI등재후보
      2010-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2009-01-01 평가 등재후보학술지 유지 (등재후보1차) KCI등재후보
      2007-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
      2006-06-30 학회명변경 한글명 : 대한신심스트레스학회 -> 대한스트레스학회
      영문명 : The Korean Society Of Biosociobehavioral Science -> The Korean Society of Stress Medicine
      2006-06-27 학회명변경 한글명 : 대한신심스트레스학회 -> 대한스트레스학회
      영문명 : The Korean Society Of Biosociobehavioral Science -> The Korean Society of Stress Medicine
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.76 1.76 1.63
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      1.61 1.44 2.211 0.2
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